Endovascular management of fusiform aneurysms in the posterior circulation: The era of flow diversion

Ahmed J. Awad, Justin R. Mascitelli, Reham R. Haroun, Reade A. De Leacy, Johanna T. Fifi, J. Mocco

Research output: Contribution to journalArticlepeer-review

33 Scopus citations

Abstract

Fusiform aneurysms are uncommon compared with their saccular counterparts, yet they remain very challenging to treat and are associated with high rates of rebleeding and morbidity. Lack of a true aneurysm neck renders simple clip reconstruction or coil embolization usually impossible, and more advanced techniques are required, including bypass, stent-assisted coiling, and, more recently, flow diversion. In this article, the authors review posterior circulation fusiform aneurysms, including pathogenesis, natural history, and endovascular treatment, including the role of flow diversion. In addition, the authors propose an algorithm for treatment based on their practice.

Original languageEnglish (US)
Article numberE14
JournalNeurosurgical focus
Volume42
Issue number6
DOIs
StatePublished - Jun 1 2017
Externally publishedYes

Keywords

  • Bypass
  • Coil
  • Embolization
  • Fusiform
  • Pipeline
  • Stroke

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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